Tatyana Verkholaz
Chicago,IL
Summary
Dedicated nursing professional with more than 20 years of clinical and leadership experience caring for patients in variety of settings. Highly organized, proactive with excellent critical thinking and communication skills.
Overview
27
27
years of professional experience
3
3
years of post-secondary education
Work History
House Nursing Supervisor/Administrative Nurse PRN
Community First Medical Center
Chicago, Illinois
02.2025 - Current
- Supervised nursing staff to ensure high-quality patient care delivery.
- Coordinated patient admissions and discharges for efficient workflow management.
- Conducted staff training on safety protocols and best nursing practices.
- Ensure correct staffing and shift scheduling
- Facilitate facility emergencies/codes and procedures
PRN/on -call RN Case Manager Hospice
Sanctuary Hospice/Care Hospice
Chicago, Illinois
08.2024 - Current
- Managed patient care plans to ensure comprehensive support and services.
- Coordinated with interdisciplinary teams to facilitate effective patient communication.
- Conducted assessments to identify patient needs and develop tailored interventions.
Clinical UM Nurse Reviewer Case Manager
CVS HEALTH CORPORATION
Chicago, IL
12.2021 - Current
- Provided input during design phase of information systems projects related to clinical review activities.
- Monitored physician performance metrics, providing feedback where appropriate.
- Facilitated training sessions for staff members on proper use of ICD-10 codes and other relevant topics.
- Interpreted laboratory results, imaging studies and other diagnostic tests used in diagnosis or treatment planning.
- Maintained a working knowledge of CMS coverage determinations, LCDs and NCDs, CPT codes and modifiers.
- Prepared detailed reports summarizing findings from various claim reviews conducted.
- Performed pre-certification reviews to determine coverage eligibility for services.
- Interpreted health plan policies, benefit plans, and other regulations related to claim processing.
- Maintained up-to-date knowledge of regulatory changes affecting reimbursement practices.
- Monitored trends in denials, appeals, and rejections associated with particular providers or facilities.
- Identified opportunities for improvement in the quality of care delivered by providers.
- Documented all activities related to claim reviews in accordance with departmental standards.
- Reviewed medical claims to identify any potential coding errors or omissions.
- Collaborated with internal departments such as Medical Management and Utilization Review teams on complex cases.
- Provided guidance on utilization review decisions when requested by providers.
Acute Care Clinical Manager
Gottlieb Memorial Hospital
Melrose Park, IL
06.2016 - 06.2020
- Supervised daily nursing activities and general operations while delivering exceptional care and building solid nursing teams for Acute and Subacute/Skilled Rehabilitation Units facility with more than 50 beds.
- Established and maintained quality care systems, according to regulatory requirements in order to achieve excellent patient care outcomes ( TCU has 5 Star Rating, Excellent IDPH surveys, 94% "Would recommend" )
- Excellent results in team building and colleague engagement. Was able to reduce the turnover rate to 11%
- Increased the census and reduce the operational costs by more than 10% ( particularly in the use of supplies )
- Coordinated weekly work schedules for all department employees.
- Supervised 60+ staff members and provided periodic performance evaluations.
- Provided clinical oversight for over 50 patients.
- Employed active listening and interpersonal talents to effectively interact with various individuals, including physicians, patients and fellow employees.
- Interviewed applicants and made recommendations for new hires.
- Improved medical equipment competencies and care best practices through various ongoing learning options.
- Implemented highly effective onboarding and coaching program for new and existing staff members and promoted cross-training in other areas.
- Spearheaded clinical training and orientation for newly hired staff and university students.
- Administered financial operations, including budget development, expenditure authorization, accounting and financial reporting.
- Maintained cleanliness of medical, storage and common area rooms.
- Encouraged high morale and staff retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitation of proactive work.
Hospital Nursing Supervisor
Gottlieb Memorial Hospital
Melrose Park, IL
06.2018 - 04.2020
- Providing supervisory support for hospitals staff during various shifts. Responsible for staffing, patient movement, bed placement, direct admissions.
Director of Nursing
Woodbridge Nursing And Rehab
Chicago, IL
07.2012 - 04.2015
- Day to day operations of 250 beds Long Term Care Nursing Facility.
- Responsible for clinical care delivery, regulatory compliance, staff recruitment and mentoring.
- Assessed competency of clinical staff to promote quality, continuity and safety.
- Oversaw new nursing employee orientation process, including explanation of personnel policies and individual duties.
- Administered executive supervision, exercising independent judgment to select proper course of action in policies and procedures.
- Reviewed incident reports within 24 hours for accuracy and proper notification to family, physicians and other agencies as required by regulations.
- Budgeted, managed and scheduled staff of 80 nurses and 110 CNAs.
- Reviewed daily documentation of dispensing of controlled substances, immediately noting any discrepancies from shift to shift.
- Implemented changes needed to correct deficiencies found during government inspections.
- Monitored development, implementation and updates of individualized care plans.
- Coordinated medical and health services in compliance with government regulations and policies set by board of trustees.
- Ordered all supplies needed for the pharmacy and kept tabs on inventory levels.
- Recruited and hired intelligent clinical and administrative staff to bolster skills set of already talented team.
- Coordinated delivery of exceptional patient care by evaluating workflows and facilitating positive changes.
Director of Clinical Services
CJE SeniorLife, Lieberman Center
Skokie, IL
04.2008 - 06.2012
- Day to Day operations of 280 beds Skilled Nursing Facility.
- Oversight and establishment of processes to ensure excellent quality of clinical care delivery. Regulatory compliance, survey readiness, human resources, customer relations.
- Devised training programs to close gaps in nurse and staffs' competencies.
- Improve policies and procedures through development, implementation, revision and evaluation of new protocols.
- Partnered with nurse manager to raise standards of practice by monitoring, analyzing and correcting staff performance.
Director of Clinical Services
National Home Services
Skokie, IL
01.2003 - 12.2008
- Day to day operations of Home Care agency. Including care delivery, documentation, regulatory compliance, human resources, marketing. Established policies and procedures, carepaths, and patient educational materials. Responsibilities also included staff recruitment, education, and mentorship.
Charge Nurse, ICU & Step Down CCU Float, Telemetry
North Shore University Hospital
Skokie, IL
01.1999 - 12.2003
- As a charge RN was a key member of interdisciplinary team. Delivered high quality patient care according to the care plan prescribed by the physician. Worked closely and successfully with all members of the team.
- Collaborated with staff and interdisciplinary team in order to resolve any issues, and ensure smooth operations of the unit flow.
Education
Master of Science - Health Care Administration
University of St. Francis
Joliet, ILBachelor of Science - Nursing
North Park University
Chicago, ILBachelor of Science - Civil Engineering/Economics
University of Civil Engineering
Kharkiv , Ukraine 09.1987 - 01.1991
Skills
Highly skilled nursing leader, with current experience in the healthcare industry Have passion for caring for people in need, ability to build and lead successful teams of people with common goals and values Have proven record of success with value based care and regulatory survey results Proficient in technology and medical records audits Excellent communication and customer service skills
Timeline
House Nursing Supervisor/Administrative Nurse PRN
Community First Medical Center
02.2025 - Current
PRN/on -call RN Case Manager Hospice
Sanctuary Hospice/Care Hospice
08.2024 - Current
Clinical UM Nurse Reviewer Case Manager
CVS HEALTH CORPORATION
12.2021 - Current
Hospital Nursing Supervisor
Gottlieb Memorial Hospital
06.2018 - 04.2020
Acute Care Clinical Manager
Gottlieb Memorial Hospital
06.2016 - 06.2020
Director of Nursing
Woodbridge Nursing And Rehab
07.2012 - 04.2015
Director of Clinical Services
CJE SeniorLife, Lieberman Center
04.2008 - 06.2012
Director of Clinical Services
National Home Services
01.2003 - 12.2008
Charge Nurse, ICU & Step Down CCU Float, Telemetry
North Shore University Hospital
01.1999 - 12.2003
Bachelor of Science - Civil Engineering/Economics
University of Civil Engineering
09.1987 - 01.1991
Master of Science - Health Care Administration
University of St. Francis
Bachelor of Science - Nursing
North Park University